Permit (104) CITY OF TIGARD MASTER PERMIT
• COMMUNITY DEVELOPMENT Permit#: MST2017-00465
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2018
T I i';�It.(7 9 Parcel: 2S106DA01500
Jurisdiction: Tigard
Site address: 13237 SW 169TH AVE
Subdivision: RIVER TERRACE EAST Lot: 15
Project: River Terrace East, Lot 15
Project Description: New SFA.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 31 Bathrooms: 3 Second: 562 sf Garage: 456 sf Front: 8 Smoke
Dwelling Units: 1 Third: 562 sf Right: 0
Detectors: Yes
Total: 1221 sf Value: $163,089.69 Rear: 5
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description:
Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VB R-3 1221
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660
STE 1
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $23,856.99
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,� ""`^ 41- Permittee Signature: ��� ✓yJ�/Cmc-71 d`1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Biding Permit Application Z-07—
• s dentia �z:i\t FOR OFFICE LSE ONLY
City of Tigard Dateived eB !/ ,?/,' �57�G1�-66Ya,s
r Permit No.:
'� 13125 SW Hall Blvd.,Tigard,OR 9 !] 2017 Plan Review ,(,a�7
0 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ' 3—jg TI other Permit: 7c
TIC A F D Inspection Line: 503.639.4175 i `i 3 D Date Ready/By: I j,, Juris: MI See Page 2 for
Internet: www.tigard-or.gov ii;i.a i gt,,, j••�r`�7„ j'.„ Notified/Method: ,5(j0 j Supplemental Information
/✓)-ft, A//ewe GC'
alaN _ .. >... � .. � _.. � � ,g r�"' §w"ts za 1r"��--i. :141 111 .. s � � ...� � ��.
° I . 177, : 4$l e� at ,
�.f . ,. ,..- 3, , ..-..r"��Z§ .€'„�>,e-,�s� �-. �. .. ... _1111 , �s3 .�.'- � -_ ,��, .-�-s_._ .,.
Z New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
4 i � t Br� t � ,.-.. " workindicated on this application.
- t , re .-, :iNketiF`. 4 . P .M.`' a p Ax�1:4
, 1-and 2-family dwelling 0 Commercial/industrial
Valuation: $
❑Accessory building [Multi-family Number of bedrooms: / + ) b J O.89-G9
0 Master builder /❑Other: Number of bathrooms: --i.„3
x € : a Total number of floors l ..44 is . . 1677
Job site address: /3237 Sw ['D C N� New dwelling area: l'27 i square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4.s- n square feet SQ.
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: )&square feet Co4.5"
Cross street/directions to job site: Deck area: 7 a square feet '
-Other structure area: 7 square feet
l t`, , .
Subdivision:River Terrace East Lot 15no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
A
equipment,materials,labor,overhead,and theprofit for the
I S �, P� li t: ..4 e . 'A 4`5 tt4 P
work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
se 3 i1 - me _R„Ilk"
Y „ 4f0 - sNumber of stories:
Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road Occupancy groups:
City/State/ZIP:Scottsdale,AZ 85258 Existing:
Phone:(602)694-4031 Fax:( ) New:
tAW,e 1111 .. :� ,�.. ,..✓ �9 �.�.. � «aa.-.�.�, ,.E.,.. ���_ ",,: ., a. 1ii!r, .,'s 'iSit � �'�` '2 r'k `i„
Business name:Polygon WLH,LLC .w '
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
FLS plan review fee(if applicable):
Address: 7 03 'a o St Su'u i S�
OJ Total fees due upon application:
City/State/ZIP:Vancouver WA 9866
Phone:(360)695-7700 Fax::( ) Amount received
Iliferitittertrimmirive
E-mail:Nichole Thorpe t' . ' . . '.'
-> _- -:;,,;,314,--0-:::7::,4, ,, Vo r..�
,,. Commercial and residential prescriptive installation of
t . p ...,, roof-top mounted Photo Voltaic Solar Panel System.
Business name: I/0Submit two(2)sets of roof plan with connection details
pp! lm
I LN and fire department access,along with the 2010 Oregon
Address: 1 a3 Xt c1Wo`�`� St Sv ' . e7 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 9866 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247
Total fee due upon application: $201.60
Authorized signature: � / -/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
- . .
; -
Mechanical Permit Application , ,, r; , ,,,,i- FOR OFFICE USE ONLY
City of Tigard Received
PermitNy./5 /7„.0 d eyic_.,5
1, 13125 SW Hall Blvd.,Tigard,OR 97.223 t 1" ' ' : '- .' . Dpianate/BY:.ew
: 11 Phone: 503.718.2439 Fax: 5O3.5810-`: -. . - . bateigy, Other Permit:
inspection Line: 503.639.4175 , . Date Ready/By: _
TIGARD Juris: I 0 See Page 2 for
Internet www.tigard-or.gov Notified/Method: Supplemental Information
--Niktwkittiiiiit-giSgetWaiNT1.9:,
Mechanical permit fees*are based on the value of the work
1:0 New construction 0 Addition/alteration/replacement perrormed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
i-K- trOls.-7.MatWK-67-0,037*1:0K-07.*#.1At r*:$.1.: 74.- :41-7 ....9 .,Iti ids-::Cd*-114.10,AttiiiiiittiViikiitaillaFf .'
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special&formation use checklist
qMulti-family 0 Master builder 0 Other. Description Qty. Ea. Total
040-41-Vgginittit'O'rltk...',.14b)tiftkli:::01,t7AK 4041.ftitirat.9;.f.gt*FX lAiiersi tin tang. g
1 46.75 46.75
Job site address: 1 sv,) \,t joitb f\.,ff., Furnace 100,000 BTU(ducts/vents) _ 1 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) _ 54.91 _
Heat pump 61.06
,
Suite/bldgJapt no.: Project name:River Terrace East
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or -
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 1 23.32
Other. 23.32
Subdivision:River Terrace East Lot no.: I
Other fuel appliances:
Tax mapIparcel no.: Water heater 2332
.::::0E6.--i-Awiois-Lttg.:,31 . $.0,•.cRitliositck*,0*-Tot:?Atiill.f4-.:IsZiigaigi FIGasuefirePventifoaceir insert heater or gas 1 3339
. -
fireplace 23.32
_ .
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 2332
Chimney/liner/flue/vent 2332
7i-iiirresiZZ:Viiiiiticrir.14/NEleT-4.::';i eF-i.::':11,0 .:°=1.1:1::#14049:'W-7-.'#-IS'i Environmental2332 er: exhaust and ventilation:
Name:ADVL Land Holdings,LLC Range hood/other kitchen
equipment I 33.39
Address:7600 E Doubletree Ranch Road
Clothes dryer exhaust t 3339
City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) % 2332
Phone:(602)6944031 Fax( ) Attic/crawlspace fans 2332
.,fttairlialV..eXi-..::07: 7_ .2i :,.--134-'6O$401Eirdil":41V.1;:l'Vt Other 2332
Fuel piping:
Business name:William Lyon Homes,Inc.
$14.15 for first four;$4.03 for each additional
Contact name:t\)i al 0 k,11A0f-V.e Fumaoe,etc. 1
Address:100A)0k -\-- Skj-A<-• SW Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax :(360)693-4442 Fireplace 1
Range 1
E-mail: 1(./kat -'CO
Pb_49040nrieJ •(inf,I. ., Barbecue
F:: 0 ,,, ,:.-, :,.!,:....::,. .75466- 66* :?..j ::-:=1,::t fi..-_-tiz:;-,17,,.,-,i4ii.a..t; Clothes dryer(gas)
Other
Business name:pn Noon curvI wify, Other
j 11- I
.74!114: 41ItiticOTYRIg.fc-trgl:i. Z
Address:1,DRc t\W . ;ii\ OR, pri SuAkc, k\U1 Subtotal
City/StateiZIP: tA- SNCO i / Ct 1 k 1....)1 leinimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:9j )1443. Fax:(5 ) Cbt L\ ' st1S- State surcharge(12%of permit fee) _
_
CCB lie.:101 DC)) TOTAL PERMIT FEE
This permit application expires Ifs permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: ** Fee methodology set by Tri-Coisay Building Industry Service Board
Print name:Ak 64 0 le....-11 Ovp(-- Date:
• . , ' - , -', ,' '
•
Electrical Permit Application '' ' ', .i FOR OFFICE USE ONLY
_ _ _ _ • ,
- City of Tigard
TSIMIENZEinE1
111,aq 13125 SW Hall Blvd.,Tigard,OR 97223 phn Re;,5
1 V' Phone: 503.718.2439 Pax 503.598.1960 Date/B Related Permit#:
InspectionLine: 503.639.4175 Ready Date/By: huts: 21 See Page 2 for
T i G ARD Internet•www.tigard-or.gov ItotillerVMothod; Supplemental Inform
•
=--, •••••,.4.---;•2-;;--f•-•f-.1.a.-;`-',5,-11,:cr.7.,,,AW,..likfo_ ii.t-XtVrf-rck -k--ir a'i'-',---f-='•st=g-,1`-' ,'-'=-1.-TJa ..?4-.P.;„4.,=',. ..,--*'IF'1,•:-.4',.IrtiA&•10::.Rlia..*.cf,w'?,- ,&:-Tt-t,•,k•Z
e New construction 0 Addition/alteration/replacement Please check all that apply(submiti sets of plans widens checked):
0 Demolition D other: • EJService or feeder 400 amps armors) 0 Building over three stdries.
whore the available fin*current Maw:Inas and boatyards.
exceeds 10,000 amps at 150 volts or CIFloating buildings-
.-and 2-family dwelling 0 Commerciallitidnstrial 0 Accessory building WS 133 ground,or exceeds 14,000 ID Commereial-use agdoultural
amps for ell other installations. , buildings.•
.-t...4 Multi-family s• 0 Master builder 0 Other _. ., 0 Fire pump. C-1 Installation of 150 KVA or
"•,:7-X*-7,;-_,`.-:0",„„T-2,=7:-.1-ii re,i5`,.-iiii-6 4'201 IT-X':E.o'',F-PViZtil-Allelo tik'[-kg-V 1:':%'-, -..,:: .•:_- 19 BLergwra newstem'm toad or larger separately derived
system.
Job#: Job site addres-'1 32.57 4j \1.10101 NC, 1DORP or more. 0"A"„Id", 1-r, 1.3",
12 Six ormore residential units. occupancy.
City/State/ZIP:Tigard,OR 97224
OBealth-aare facilities. pRaomadonal vehicle parks.
Suitelbldg./apt#: I Project name:giveA,,,-TeAtral....e Ei_ c3H...rdLIUS IOCItiOat 0 Supply voltagc for more than
0 Service or feeder 600 amps or more. 600 velb netelee1
Cross street/dire,ctions to job site: ,?.,7-.7:•.,,,-,-.- Jrz,-;64,741 :4•W-1,ar.T.i: .1 4,1W-- --- V-,'-'''' '-.'-'F..'37
niserhaion 1 Qty. Path Total *_
• New residential single-or multi-family dwelling unit.
IL,otti I -- Includes attached garage.
— I.000 sq.ft.or less 1 168.54 4
Tax map/parcel if:
Ea.add'1500 sq.ft.or portion i 33.92. 1
-,,,,:..,,-.--7,`-- ---',1--'''-Z.-1':-:-I'l;'-&-31Y-'4iFWO: ilr'Afig:.'.i-(•Agitil.. 1•3--Z-,v-7,:-LWV---.W.L!---4,„?4,--,,,-_,,w, Limited energy residential -
(with.above sq.ft.) 75.00 2
Limited energy,multi-family
75.00 2
residential(with above sq.tt)
Renewable Energy CI See Page 2
'-4-'.•:-;-7,•.:24P:1'',P,,1-..L'btt,t,.•0-7• D'iLitlit?:.i.' --4',"--AWL--- -: -.•-•eq4--Qr'-W.F.'&•-4E45'11'---'-r-TServices or feeders installation,alteration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 10030 2
Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Scottsdale,AZ 85258
6D1 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 I Fax:( ) Over 1,000 amps orvolts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: •. relocation
Owner installation:This installation is being mock on property that I own which is not 200 amps or less 59.36 [ I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. - 201 amps to 400 amps 125.08 2
Owner signature: Date: • 401 amps to 599 amps 168.54 2
f-tj'"1-- -•.':---:-1.=f=,t,c4-'a M•lt:;C_'-',JW;-1",:i"):)---.V,?,-Z...'-„:",-,T,„;-;-)7117q-viyy--;i-sii-rk-3-ii.2:,,-,:t-,A: s: Branch circuits-new,walteration,or extension,Per Panel _
Business name:William Lyon Routes,Inc. above service or feeder fee,
7.42 2
each branch circuit
Cmtaa name: Nlich ole,Th not B.Pee for branch circuits*thou!.
service or feeder fee,first
Address: 03 'r0(xc.iii.itat.Q\ St Sulk-t, S lD branch circuit 56.18 2
City/State/EP:Vancouver,WA 98660 ' Each add')branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 • ' ` Fax::(360)693-4442 Each mandeettned or modular
67
dwelling,service and/or feeder .134 2
P371$111;l A i 1,..., .4 i in_ fa ,4.4 a NIPS I Reconnect only 67.84 2
-1,:,..if'-=---S1'•;.‘r,_':-,e.z: :_-.--.-----.-:-:-."3.-:-- si-:„...WWK,.'?..'-57Tkilk'1,-;;. -,..‹,,1:- .•.:=4.3-?'-'-'7-3--- :.%:,44`rfP- Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,ILC ' Signor outline lighting 67.84 2
4...
Signal circuit(s)or limited-eaergy
Address:k D? •_),A ilv_ iA.1.0.1,) ue, \CcO paiusl,alteration,or edension. D See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP:'pu1/4 t i 0.11_14 pl kij-or c?e, 1
Additional inspection(1 br min) 6625/hr
Pbone:(253)320-1657 1 Fax:( ) Investigation(1 brim) 90.00/hr
Industne.I plant(I hr min) • 78.18/br
oel
Pr 'bdaniels@gwensa.com
Inspections for which no fee is
CCB Lic.: C1158 Electrical Lic.: 208174 Supry.Lic•.: 4496S s,•... • lidI:min)sW %
49000/hrSuprv.Electrician signature,required: -C:64A-7,-p-a-e,,L.,t--.....-:::- .
Subtotal:
Print name: Joan P Albert •• ' I Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
e — State surcharge(12%of permit fee):
....-• ---
------ ••
AuthorizedTOTAL PERMIT FEE:
::',!•,,•; signature: -
This permit application expires if a persottis not obtained witbin 1.80
Print name: Bill Daniels Date: 4/26/2016 days after itlan been accepted as complete.
* Number afinapootions Ahmed per permit
i0)...u.,-sundiitcPcointat..0 Permit/me te.8 EltF-doc
5ea D6/17)2055 a.m..age VIVI t InVev1a"Rama
Plumbing Permit Apulication' ',w r- '' `)pi7
-• •
Building Fixtures fOR 01-1 PC U. 1. 1 O'NLI
City of Tigard Asnat No/-7.57-€2-e/7.•0e,74,5
II,- , 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
;• ' Phone: 503.71S.2439 Fax: 503.598.1960 OtherPennit Ho.:
..!.._ : Date/By:
Inspection Line: 503.639.4175 -
TIGr:RD Date ileadyil3y; AI& SI See Page 2 for
Internet: www.tigard-orgov Notified/Method; Supplemental Infarmatkin
-i-.:.-77...W1--:::.•;Ti.::':'",:;.--17.-7C: .. riiiiitiirs*25:,---; :,.0---. f....k.-:1,:•.;,....::.,..,: :-.:7-z:t.'af-i- , IT-.g'1,..:;..,:ii,`L-7.,,:?.
tg New construction 0 Demolition For special Informofionime checklist '
.Description 1 Qty. 1 Ea. 1 Total -
0 AdditionIaltemdontreplacement i 0°filet: New 1-2-family dwellings(includes 100 R.for each utaiv connection)7
i:: :r:Mediiiitlitiii4Sif dijitifliA:,IS:frf.10::3,:i*.*:.-3,,—;: .! SFR(1)bath 312/0 ' 1
..i ,
. . 1
1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 :
• _,
• SFR.(3)bath• if 1 50032 ,
0 Accessory building• ' AMulti-family
. , Each adlitional haddltitchen • 25.02 J
0 Master beililer ' 0 Other: Fire sprialder t„,_ sq.ft.), Page 2 '
y011leticiksityWroigkiff..65&-fkiip.',:::, •.•: • .:,• s -lig
_1;1;: 7 i'''.'"'".5""$•-!-----,'.• ,••,- '•-• — ... --...*--.,-......t• .•.-,—,„1: "4•••••:-- ' • -7:::-1': ke eh es'
Job site address: 4373-1 ,,,, ioctth fwe, , Catch basin or area drain . 1 18.76 .
, Drywell,leach line,or trench drain . ' 18.76
City/State/ZIP:Tigard,OR 97224
--.
. Footing drain(no.linear ft.: ) Page 2
• Suite/bldg./apt.no.: Project name: giVe.te TfAerra,e...Eagi- ) Manufactured borne utilities 50.03
Cross street/directions te job site: Manholes 18.76 ;
Rain drain connector 18.76
Sanitary sewer(no,linear fk:___) 1 : Page 2..
• Storm sewer(no.linear IL:,____} Page 2
Water service(no.linear ft.: 1 ' Page 2-,
Subdivision: IZAI-ex TeArace_ EAS-I— Lot no.: ic Fixture•or Item: t
Tax map/parcel no.: — Backflow preventer • 1, ' 31.27
':'.'::: ••'•:•-e.:; •-li>21::::-.:ittiailifi4.4itit,.-••.;• .:4.; 1 .::..':' •..:'-.: Backwater valve
I 12.51
25.02
Dishwasher . : 25.02
Drinking fountain 25_02
Ejectors/sump 25.02
;:•,,'1 -;,f.''.-:- ';‘•'.. Expansion tank .
12.51 I i
Name:ADVL Land Holdings;LLC Fixture/sewer cap 25,02
Floor drain/floor sink/hub
1 25.02 ..
Address:7600 E Doubletree Ranch Road .
Garbage disposal i 25.02
City/State/ZIP:Scottsdale,AZ 85258
. Host bib ' 25.02'
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
:.•::..-..,,,"'-:;T:litetViiiktat7 ? . ' :-Ftiii*iiii.*Ri-4*:: ...-ii. Ince trap 25.02• ..
Business name:William Lyon Homes,Inc Morticed gas(value:3 ) i
Page 2 •
'..
. Primer 12.51 . '
Cnntast name'V1 C-V1Dle...111-\0 _. Roof drain(commercial) 12.51
"tem r-I 63 2rrelocWal set-sia.1-c- s-v() . Sink/basin/lavatory -
25.02 '
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) . 62.54
Phone:(360)695-7700 ' Fax::(360)693-4442 Tub/shower/shower nem 12.54
Urinal ; 25.02
alnail:' i _A II : . 14 b At IN 0:119040t*Orne .L.00,-) .
'!::-.-:::.:-..7*-..!:,4Y,7:-.11r,::21-'i '-' '7' -e."-"IF-74%''V'jj- --• .."-• - = .t• , svu,...;
• . Water closer
•• ••••— Waterhemer • 37.52
Business name:Alliance Plumbing L
LC Water.piping/DWV 56.29
Address:146W Historic Colambht River Hwy Other, I 25.02 •
City/State/ZIP:Troutdale,OR 97060 Subtotal '
...
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit feet $7230
_.
, 1
CCB Lie.:184601 PlumPlan review(25%ofpeunit fee)' Plumbing Lk.no.:Pli732
Stale-surcharge(12%of permit fee) ,
Authorized signature:
TOTAL PERMIT FEE
Print name,:Robert Disbmen Dram 5/23/2016 TVs per Pt expires Ira permit ii eat ebtaineal within ISO days
after kites been accepted as tomplete.
*Fee minhodalogy serf Itifieuuty Redding Inciteray Service Board.
1.1BolltEng1Permits1PLME).PermitApp,doc 10/Dit09 440.4616T(16/02/COMPWEB)
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
:1111 0
T c n It n Building Permit Review — Residential
Building Permit #: /// 7-0,2-0/?-00 I'l1
Site Address: ,g. 71. k //leQ' A /9/L
Project Name: over ---Per.2<z ..179-0 -- Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review f /
Proposal: A-&) --CV' ,— �b l c'G(eae LAItI7i_
Werify site address/suite#exists and active in permit stem.
River Terrace Neighborhood: ❑ No Oil Yes,See River Terrace Review Addendum Attached
Sit lan Elements:
ree(3)copies of site plan i; sting structures on site
e plan mustl:e on 8-1/2"x 11"or 11 x 17"paper u Footprint of new structure(including decks)with finished
IoorDwnto scale(standard architect or engineer scale)
elevations
Io arrow
tility locations&easements(required for new and additions)
iYJStaddress,project or subdivision name and lot number
dewalk/driveway approach
plicant information(name and phone number) 0ation of wells/septic systems
.2(
a of dimensions and building setback dimensions a P.,4 sting trees to be retained with drip line,and tree
1119;G uare footage of buildings to be demolished , otection measures
TI Lot area,building coverage area,percentage of coverage and Y,$treet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Yes ON/
4 foot differential) If yes,is a storm water quality facility shown? ❑Y s IN'No
Vtickean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995): y e'e e-1 / eu
jequtred: CIYes,applicant was notified Z No Received: ❑ Yes ❑ No
[J Public Facili�ti Improvement(PFI)Permit: � PFAo2c --()oe9
equtred: L1 Yes,applicant was notified ❑ No Applied For: 1 Yes ❑ No,stop intake
4and Use Case#: /b,L /?'QO1(i— 9O/
oning: k- q.,<-- i
Required Setbacks: Front Rear .5— Side 0 Street Side Garage 7(
01 Landscape Requirement: ..2 0 %
[q Lot Coverage Maximum: 7e
14 Building Height: Maximum Height A Actual Height >
Tisual Clearance
01:ensitive Lands: 0 Yes "ii No Type
lA Urban Forestry Plan
El Conditio "Mt"prior to issuanc e of building permit
Notes: 7 J� 1
Approved By Planning:
----ft__ — { — Date: AM
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES_061417.docx
.
+
Building Permit Submittal
Original Submittal Date: 0,z-z-/77
Site Plans: # j
Building Plans: # j
Building Permit#: Enter building permit#above.
Workflow Routing: `Planning engineering C 'ermit Coordinator Building
Workflow Sign-off: L >Sign-off for Planning(include notes from planning review)
Route Application Documents: .-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
„AZ- ,,,
By Permit Technician: ,- , Date: //l�l',
Engineering Review
Er-Slope at building pad: c),�/t
2vConditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
21Vater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes l'No
Assess Water Quantity Fee in-lieu: ❑ Yes 2/i\lo
LIDA Facility on lot: ❑ Yes 2/No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: V.,, (10.ti Date: / 2,-11. ii
Revisions (after Building Submittal only) Reviewer l Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A
Z1117
Tigard Trans SDC: Yes El N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes rN/A
447--
OK to Issue Permit
Approved by Permit Coordinator: Date: Z y`2�
I:\Building\Fonns\BldgPermitRvw RES_061417.docx
a
City of Tigard
III 'I COMMUNITY DEVELOPMENT DEPARTMENT
I •
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: --------) .,c _ ---9— --CA) /L941_ fi,i_e__
Project Name: -7�v -7�,a -e----01--- Lot #: /c
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist ct Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards?Ud Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/access 2 Window Projection Vertical Wall Offset a
Porch mijf. deep Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft.wide
l=1CII=1 ❑
2. Eyes on the street: a minimu of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: /271,, /p
3. ntrances:At least one entrance must meet both of the foll • g standards:
Max. 8 ft. setback from lon t street- facing wall Parallel to street,angle no more than 45° from street,
or op n onto porch
Entrance opens to a porch: Yes ❑ No
Is,all the following apply:
5 sq.ft.min.
ne street facing entry
DI
2 ft.max.roof above floor of porch
5 ft. depth min. ltd 30%mina porch roof coverage
4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
Covered porch min. 5 ft.wide x 5 ft. deep El Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches IEl P ormer min.4 ft.wide
Roof eave min. 12 inch projectionE/Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood [1d Gable,hip or gambrel roof design
0/Roof pitch oriented south min. 500 sq. ft. CIHorizontal lap siding min. 3-7 inches wide
Vti Accent siding min.40%of street facade ❑ Window trim min.2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one):
ay extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch.
ay extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
I
above the garage that faces the street with a min. area of 12 sq.ft.
Wi : (Check one)
12-foot-wide garage door Cl 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: k..._ Z/ Date: /// 2/1 -
I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11111 Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom H. DAT :1,1 ' I ELJVEt)
DEPT: BUILDING DIVISION
NOV 14 2017
FROM: Nichole Thorpe CITY OF TIGARD
BUILDING DIVISION
COMPANY: Polygon Northwest
PHONE: 360-989-40204 BY .
RE: 1324 13237,1 ` 31,13225,13219 SW 169TH r s ��i7~GO4/65--
(Site A re 1init umber
River Terrace East Lot 14-18 ' t-07 /�
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
0 Additional set(s) of plans. 3 Revisions: Bulletin, Plan Sets
0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis.
0 Floor/roof framing. 0 Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
0 Other(explain):
REMARKS: Please pay fees owed wit_Trust Account.
Adding 3rd Bathroom Option
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: ) — ,3- e Initials: 1).
Fees Due: Yes ❑No Fee Description: Amount Due:
1 • }4r P)a. revs\- $ C)0
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes i2j No Done
Applicant Notified: Date: Initials: ,17V-
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
ECEI
ED
Electrical Permit Applicatio V FOR OFFICE USE ONLY
CityofTigard 5 Q Received / r�p 'ennit S ' y/7 C��9
II g MAY 7 Z 0 18 Date/By: .7/ �4 �' /
a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permitil:
Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/Ely: Juris: Ed See Page 2 for
TIGARD
0 Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING
D1 d IJc d®
TYPE OF PLAN REVIEW
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump, 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived g
3 L31 Sv, I u q 141 100
❑Addition of new motor load of system.
Job#: Job site address: Irl 100HP or more. 0"A","E","1-2","1-3",
0 Six or more residential units. occupancy.
City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: -i' Project name:River Terrace East 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:River Terrace East Lot#:lc Includes attached garage.
1,000 sq.ft.or less 1 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion I 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
(with above sq.ft.)
SILO n - Limited energy,multi-family 75.00 2
CoIntram r C
( residential(with above sq.ft.)
Y\ P- Renewable Energy 0 See Page 2
® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2
Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
® APPLICANT El CONTACT PERSON Branch circuits—new,alteration,or extension, .er panel
A.Fee for branch circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2
each branch circuit
Contact name:Nichole Thorpe B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address:703 Broadway St Suite 510 branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:Nichole.Thorpe®polygonhomes.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Sunlight Electric Inc Sign or outline lighting 67.84 2
m Signal circuit(s)or limited-energy ❑ See Page 2 2
Address:2804 NE 65 Ave Suite D panel,alteration,or extension.
City/State/LU':Vancouver WA 98661 •
Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(971)222-5758 Fax:(360)326-9660 Investigation(1 hr min) 90.00/hr
Email:sunlight.incl@comcast.net Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 172549 Electrical L. : c230Su;rv.Lic.: 1793 specifically listed(Ys hr min)
/ ELECTRICAL PERMIT FEES
Sup1v.Electrician signature,required. v
,ior Subtotal:
Print name: Chester Garrett Date: 0 Plan Review Required(25%of permit fee):
9State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Peter Kozarez - Date: days after it has been accepted as complete.
* Number of inspections allowed per penult.
I:\Buildinx\Permits\ELC PermitApp_ELR ERE.doo Rev 06/17/2015 440-4615T(11/05/COM/WEB
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13237 SW 169TH AVE, BEAVERTON, OR, 97007 July 23, 2018 at 10:51 :20 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00465
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
No A/C installed.
Note: range not installed at this time
All other electrical appears ok
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13237 SW 169TH AVE, BEAVERTON, OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00465
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
Result:
PASS
Comments:
Corrections completed
Violation Summary:
Inspector Contractor
Plumbing Permit App I 1
Building Fixtures 1 FOR OFFICE usE ONLY
City of Tigard [�[� 2�1� Received _
13125 SW Hall Blvd.,Tigard,ORt 9'1223 Date/By:r /'F Permit Nc j f �7�,f 96�
G Phone: 503.718.2439 Fax: 503.5 Plan Review
Inspection Line: 503.639.4 Ty OFi IGA��y I) Date/By: (27.2A//b /1-�-6 Other Permit No.:
TIGARD p ,� Date Ready/By Juris
Internet: www.tigard-or.gov
DIVISION
I 0 SeePage2for
T P � Y Nl/N Notified/Method. Supplemental Information
FEE* SCHEDULE:
®New construction ❑ Demolition For special information use checklist.
❑Addition/alteration/replacementDescription I Qty. I Ea. I Total
El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)_
CATEGOttY OF CONSTRUCTION SFR(1)bath 312.70
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
-
❑Accessory building El Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
El Master builder ❑Other:
•
Fire sprinkler(1,221 sq.ft.) et)'((--- Page 2
JOB SITE INFORIMIATION!AND LOCATION Site utilities:
Job site address: 13237 SW 169TH Ave Catch basin or area drain 18.76
City/State/ZIP: Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Suite/bldg./apt.no.: I Project name: River Terrace East Footing drain(no.linear ft.: ) Page 2
Manufactured home utilities 50,03
Cross street/directions to job site:
Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear It.: ) Page 2
Subdivision: I Water service(no.linear ft.: ) Page 2
Lot no.: 15 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF,'WORK.
Backwater valve 12.51
Multipurpose Fire Sprinkler System Clothes washer 25.02
Dishwasher 25.02
Permit#
*-SrzoI7- 004f95
Drinking fountain 25.02
Ejectors/sump 25.02
'ie PROPERTY OWNER I� 0 TENANT Expansion tank
12.51
Name:Polygon Northwest Fixture/sewer cap 25.02
Address:703 Broadway St.Suite 510 Floor drain/floor sink/hub 25.02
City/State/ZIP:Vancouver,WA 98660 Garbage disposal 25.02
Hose bib 25.02
Phone:(360)695-7700 Fax:( )
Ice maker 12.51
ffii APPLICANT ' 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2
Contact name:Gavin Thomes Primer 12.51
Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
City/State/ZIP:Troutdale,OR 97060
Solar units(potable water) 62.54
Phone:(503)492-3490 I Fax: :(503)912-6438 Tub/shower/shower pan 12.51
E-mail:Gavin@AlliancePlumbing.net Urinal 25.02
CONTRACTOR Water closet 25.02
Business name:Alliance Plumbing,LLC Water heater 37.52
Water piping/DWV 56.29
Address: 146 W Historic Columbia River Hwy
Other: 25.02
City/State/ZIP:Troutdale,OR 97060
Subtotal
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50
CCB Lie.:184601 Plumbing Lic.no.: P13732 Plan review (25%of permit fee)
Authorized signature: C J��) State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Print name:Gavin Thomes I Date:2/5/2018 I This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
l:\Building\Permits\PLMU-PermitApp.doe 10/0I/09 440-4616T(I 0/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Qty Fee(ea). Total S uare Footage: Permit Fee:
Site'Utilities, • $121.90
Footing drain-15'100' 50.03 0 to 2,000
37.52 2,001 to 3,600 $169.69
Footing drain-each additional 100' 3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: :Permit Fee:
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
each additional$100.00 or fraction thereof,to
Other Inspection or Fees Qty Fie(ea)`" To•tal and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
$50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
Additional plan review for revisions 90.00/hr each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
Subtotal:
Other Fixtures: I I I I
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Quautit by Fixture Type
Fixture Type for Replace/ Plan Review for plumbing Installations
Capped Added Relocate
Work Performed; Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath -Tub/Shower 0 Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru
❑ New exterior plumbing site utilities for any complex structure
Cuspidor/WaterDishwasheroator as defined in OAR918-780-0040.
-Commercial .
-Domestic 0 Medical gas and vacuum systems for health care facilities.
Drinking Fountain ® Any multipurpose fire sprinkler system.
Eye Wash 0 Any complex structure as defined in OAR918-780-0040.
Floor Drain/sink -2"
3„ Submit 2 sets of plans with any of the above.
Car Wash Drain sometricor Riser Diagram
Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related
-Commercial-food related that meet the qualifications above.
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station Comments regarding fixture work:
Shower -Gang
-Stall
Sink/Lay -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter
Washer-Clothes *Note: If the fixture work under this permit results in an
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal
haps://allianceplumbing-my.sharepoint.com/personal/gavin_allianceplumbngnet/Documents/Documents/Fire Sprinklers/RT/City of Tigard
Permit.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13237 SW 169TH AVE, BEAVERTON, OR, 97007 July 30, 2018 at 2:37:08 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00465
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - CofO
Comments:
Final erosion control passed
Moisture content form received
Moisture barrier acknowledgement form received
High efficiency lighting form received
Insulation certification verified
Blower door and/or duct seal test certificate received
C of 0 left on counter.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13237 SW 169TH AVE, BEAVERTON, OR, 97007 July 23, 2018 at 10:52:02 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00465
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Water pressure = 75 psi
Violation Summary:
Inspector Contractor